Provider Demographics
NPI:1487804654
Name:GARRIOTT, ERIN V (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:V
Last Name:GARRIOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BRITTLE STAR LN STE 200
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1469
Mailing Address - Country:US
Mailing Address - Phone:949-419-7696
Mailing Address - Fax:949-535-1075
Practice Address - Street 1:23151 VERDUGO DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1343
Practice Address - Country:US
Practice Address - Phone:949-535-1056
Practice Address - Fax:949-535-1075
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA247031041C0700X
CALCS247031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical